Provider Demographics
NPI:1043895840
Name:WHITAKER, RASHAUNDA WEST (APRN)
Entity type:Individual
Prefix:
First Name:RASHAUNDA
Middle Name:WEST
Last Name:WHITAKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 TARA OAKS CT
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2528
Mailing Address - Country:US
Mailing Address - Phone:713-591-6513
Mailing Address - Fax:
Practice Address - Street 1:455 UVALDE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3717
Practice Address - Country:US
Practice Address - Phone:832-409-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily